Frozen Shoulder Brisbane

Frozen shoulder brisbane city

Frozen shoulder Brisbane treatment at Knead Massage & Myotherapy. This article aims to give you an understanding of what you should do if you have Frozen Shoulder (adhesive capsulitis) and how a Myotherapist can help ease your recovery.

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What’s Frozen Shoulder?

Frozen Shoulder is a long lasting, debilitating condition that causes the tissues around the shoulder joint to become inflamed and profoundly stiff. This results in a gradual loss of active and passive shoulder movements, making simple life tasks like reaching for things on a shelf or putting on a shirt or coat challenging.

What frozen shoulder feels like?

In the early stages Frozen Shoulder causes pain, stiffness and severely limits range of motion in the shoulder joint (freezing stage). This is followed by a severe restriction of shoulder mobility that typically lasts between 6-24 months (frozen stage).  The last stage of the condition is where movement begins to become easier (thawing stage).

Is frozen shoulder curable?

Best practice for treating frozen shoulder is early intervention with a cortisone injection that is guided by ultrasound or CT.  Early use of cortisone has been shown to drastically reduce the time time till recovery and reduces the severity of all stages.  During the frozen stage, managing pain and maintaining range of motion is critical and physical treatments such as myotherapy and Remedial Massage can be beneficial to help achieve this.

Stephen Berkeley
I was referred to Liza Markova, Senior Myotherapy, Remedial & Dry Needling Therapist by my sister to supplement my treatments with my Physio for Frozen Shoulder on my left side and bursitis on my right side. When we started the treatment I couldn't lift my arm higher than 90-100 degrees, and could not sleep on my left side due to the pain. My treatment included dry needling, laser therapy, massage and joint mobilisation for the shoulder plus specific stretches and exercises for Frozen Shoulder. Liza spent a lot of time to ensure I understood the exercises and could perform them correctly. They were easy to do and I enjoyed doing them. Liza is really dedicated to her craft and helping the patient. My shoulder returned back to full function and painless sleep. I highly recommend Liza.

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Frozen shoulder cause?

The precise cause of frozen shoulder is unclear – but many factors contribute to its development including:

  • Metabolic syndromes (Diabetes or pre diabetes is the single biggest association)
  • thyroid disorders
  • Gender
  • Age
  • previous shoulder injuries.
  • prolonged periods of shoulder immobility (post operative or injury, post mastectomy)
  • disc bulge in the neck
  • cardiopulmonary disease

Common Symptoms of Frozen Shoulder

  • Persistent shoulder pain – often worse at night
  • Gradual onset of stiffness and reduced range of motion
  • Difficulty lifting the arm or reaching behind the back
  • Painful sensation when trying to perform shoulder movements

Frozen Shoulder Stages

As previously discussed, adhesive capsulitis has a few stages:

1. Freezing Stage (Painful Stage):

The initial stage is marked by increasing pain, particularly at night. Shoulder movement becomes more restricted, and activities like combing hair or reaching behind the back can become challenging. This stage typically lasts around 2 to 9 months.

2. Frozen Stage (Adhesive Stage):

During this stage, the intensity of pain may decrease, but stiffness and limited range of motion become more pronounced. Everyday tasks requiring arm movement become significantly difficult. This stage generally lasts 4 to 12 months.

3. Thawing Stage (Recovery Stage):

Gradually, the shoulder starts regaining more movement. Activities become easier to perform – this phase can range from 12 – 42 months.

The severity and duration of each stage varies from person to person and as discussed depends on your metabolic health, cortisone use, age and gender and the consistency of rehabilitation exercise. A Clinical Myotherapist can help speed-up recovery of frozen shoulder by helping maintain movement competence and pain management.

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Adhesive Capsulitis Diagnosis

The primary diagnosis tools of frozen shoulder are a comprehensive assessment and health history.  Scans such as MRI are useful to rule out other potential causes of shoulder pain and stiffness.

A typical Myotherapy assessment for frozen shoulder includes evaluating your health history, assessing pain and range of motion, analysing muscle tension and posture, and observing functional limitations. This helps your Myotherapist develop a treatment plan using manual therapy, exercises, and self-care strategies which alleviate symptoms and improve shoulder mobility. Referral for medical evaluation and suitability for cortisone may be suggested.

What helps a frozen shoulder?

  • Corticosteroid injections
  • anti-inflammatory medications
  • Manual therapy techniques
  • targeted exercises under the guidance of a physical therapist or a Myotherapist, can aid in restoring shoulder mobility and strength.
  • over-the-counter pain relievers

Myotherapy treatment at Knead Massage Brisbane offers a multi-faceted approach to address frozen shoulder. An expert Myotherapy treatment uses many techniques to reduce pain, restore mobility, and enhance shoulder function.

1. Massage and Soft Tissue Techniques:

Expert deep tissue massage targets areas of muscle tension and tightness around the shoulder joint. These techniques reduce pain, relax muscle restriction, improve circulation, and most importantly -improve ease of movement.

2. Trigger Point Dry Needling:

We use advanced dry needling techniques to stimulate certain trigger points in the shoulder, promoting muscle relaxation and pain relief.

3. Electrotherapy:

Electro dry needling techniques, used by Myotherapists at Knead Massage Brisbane, involve applying electrical currents to the needles. Electro stimulation can greatly help with pain reduction, muscle spasms, and blood flow.

4. Low-Level Laser Therapy (LLLT):

Low Level Laser has been proven to increase production of ATP (adeno triphosphate by the mitochondria of the targeted tissue) – resulting in improved healing. In the context of frozen shoulder, Low Level Laser may help reduce inflammation, aid in tissue repair and provide relief from pain.

5. Exercise Rehabilitation:

An Expert Myotherapy treatment for frozen shoulder will involve targetted stretching and strengthening exercises which will assist with improved shoulder mobility as well as strengthen support structures.

Book your Frozen Shoulder Treatment

Conclusion

Adhesive capsulitis not only stops you doing things you love – it makes the simple tasks of life harder.

If you’re experiencing shoulder stiffness, pain and limited range of movement book a Myotherapy treatment soon and make your shoulder stiffness a memory.

Frequently Asked Questions (FAQs)

Frozen shoulder, or adhesive capsulitis, is a condition characterized by pain, stiffness, and limited mobility in the shoulder joint. It occurs when the tissues around the shoulder joint become inflamed and stiff, making everyday activities challenging.
Adhesive capsulitis is the medical term for frozen shoulder. It describes the condition where the tissues around the shoulder joint become inflamed and stiff, leading to pain and limited mobility.
Frozen shoulder often feels like persistent shoulder pain, especially at night. You may also experience gradual stiffness and reduced range of motion in the shoulder. Simple tasks like lifting your arm or reaching behind your back can be painful and difficult.

Best practice for treating frozen shoulder is early intervention with a cortisone injection that is guided by ultrasound or CT. Early use of cortisone has been shown to drastically reduce the time time till recovery and reduces the severity of all stages. During the frozen stage, managing pain and maintaining range of motion is critical and physical treatments such as myotherapy and Remedial Massage can be beneficial to help achieve this.

Several risk factors can contribute to the development of frozen shoulder, including age (more common in people over 40), gender (more common in women), underlying medical conditions like diabetes and thyroid disorders, prior shoulder injuries, and prolonged periods of shoulder immobility.
Frozen shoulder is more prevalent in females, although the exact reason isn’t fully understood. Hormonal factors, including estrogen, may play a role. Additionally, some autoimmune diseases more commonly affect females and can increase the risk of developing frozen shoulder.
Individuals with diabetes have an increased risk of developing frozen shoulder. Several factors contribute to the link between frozen shoulder and diabetes, especially chronic inflammation, which can slow down the recovery process, increase pain and stiffness in the shoulder joint and surrounding tissues.
Frozen shoulder pain often intensifies at night because of decreased movement during sleep as well as (potentially) compression from side sleeping. Immobilizing the shoulder for extended periods can lead to increased stiffness and discomfort.
The exact cause of frozen shoulder remains unclear, but factors like age, gender, underlying medical conditions (such as diabetes and thyroid disorders), prior shoulder injuries, and prolonged immobility can contribute to its development.
Common symptoms of frozen shoulder include persistent shoulder pain, stiffness, reduced range of motion, and difficulty performing everyday tasks that require arm movement.
Pain in frozen shoulder is typically felt in and around the shoulder joint. It’s often described as a deep, aching pain that can be persistent and may worsen at night. It can also radiate down the arm, causing discomfort in the upper arm and sometimes the neck.

The primary diagnosis tools of frozen shoulder are a comprehensive assessment and health history. Scans such as MRI are useful to rule out other potential causes of shoulder pain and stiffness.

Initial myotherapy assessment of suspected frozen shoulder typically involves range of movement testing, muscles and joints assessment, special tests, etc. We may also recommend seeing other medical professionals who can conduct additional physical examination, and order imaging tests like X-rays or MRI scans to rule out other potential causes of shoulder pain and stiffness.

  • Corticosteroid injections
  • anti-inflammatory medications
  • Manual therapy techniques
  • targeted exercises under the guidance of a physical therapist or a Myotherapist, can aid in restoring shoulder mobility and strength.
  • over-the-counter pain relievers

Myotherapy treatment at Knead Massage offers a multi-faceted approach to address frozen shoulder. An expert Myotherapy treatment uses many techniques to reduce pain, restore mobility, and enhance shoulder function.

  1. Massage and Soft Tissue Techniques:

Expert deep tissue massage targets areas of muscle tension and tightness around the shoulder joint. These techniques reduce pain, relax muscle restriction, improve circulation, and most importantly -improve ease of movement.

  1. Trigger Point Dry Needling:

We use advanced dry needling techniques to stimulate certain trigger points in the shoulder, promoting muscle relaxation and pain relief.

  1. Electrotherapy:

Electro dry needling techniques, used by Myotherapists at Knead Massage, involve applying electrical currents to the needles. Electro stimulation can greatly help with pain reduction, muscle spasms, and blood flow.

  1. Low-Level Laser Therapy (LLLT):

Low Level Laser has been proven to increase production of ATP (adeno triphosphate by the mitochondria of the targeted tissue) – resulting in improved healing. In the context of frozen shoulder, Low Level Laser may help reduce inflammation, aid in tissue repair and provide relief from pain.

  1. Exercise Rehabilitation:

An Expert Myotherapy treatment for frozen shoulder will involve targetted stretching and strengthening exercises which will assist with improved shoulder mobility as well as strengthen support structures.

Cortisone injections are sometimes used to relieve pain and inflammation in frozen shoulder. They can provide temporary relief, but they are typically part of a broader treatment plan that includes physical therapies such as myotherapy.

Cupping therapy, which involves placing cups on the skin to create suction, can be used alongside massage therapy for pain relief in frozen shoulder. It may help improve blood flow and reduce muscle tension.

Dry needling is one of the techniques used by myotherapists at Knead Massage to relieve muscle tension and discomfort associated with frozen shoulder. It involves inserting thin acupuncture needles into painful trigger points in the muscles, which can help alleviate pain and improve shoulder mobility. Dry needling is usually used in combination with massage and rehabilitation exercises.

Massage therapy, particularly deep tissue massage and trigger point release, is a common component of myotherapy treatment for frozen shoulder. It helps release muscle tension, decrease pain, and improve blood circulation in the affected area.

In severe cases of frozen shoulder that don’t respond to conservative treatments, surgery may be considered. Surgical options include manipulation under anesthesia and arthroscopic release.
The recovery time for frozen shoulder can vary widely among individuals and depends on various factors, including the severity of the condition, consistency of treatment, and individual response to therapy. In general, the recovery process can take several months to a couple of years.
Frozen shoulder and bursitis are separate conditions but can sometimes occur together or share similar symptoms. Bursitis involves inflammation of the bursa sac, a fluid-filled sac that cushions and reduces friction in the shoulder joint. It can contribute to shoulder pain and stiffness, which may overlap with frozen shoulder symptoms.
Frozen shoulder and rotator cuff issues are distinct conditions. Frozen shoulder involves inflammation and stiffness in the shoulder joint’s tissues, while rotator cuff problems typically refer to injuries or tears in the muscles and tendons that stabilize the shoulder joint.

Some of the exercises that are proven to be effective in frozen shoulder management are:

  • Pendulum Stretch: Gently lean over and use your uninjured arm to swing the injured arm in small circles, helping to improve range of motion.
  • Towel Stretch: Hold a towel behind your back with one hand and grab the other end with your opposite hand, gently pulling upwards to stretch the shoulder.
  • Cross-Body Reach: Use your unaffected arm to hold the affected arm at the elbow and gently pull it across your body to stretch the shoulder.

It’s essential to work with a qualified myotherapist who can tailor the exercise plan to your specific condition and needs.

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Liza Markova
Liza Markova is a Myotherapist at Knead Massage in Brisbane CBD. She loves helping clients improve their quality of life with effective Myotherapy and corrective exercise treatments. As a Yoga instructor Liza is able to provide a holistic approach to treatment and pain management.
Liza Markova
Liza Markova

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